Generic Clearance for IMLS Grant Forms: Budget Form, Program Information Sheet, and Digital Product Form and instruction

Forms and Documents

Document Name	Status
Form Budget Form 1 Budget Form Form and Instruction	Unchanged
Form Program Informatio Program Information Sheet Form Form and Instruction	Modified
Form Digital Product Fo Digital Stewardship Form and Instruction	Modified
Justification for Change 3137-0092 GC IMLS Grant Forms - PIS Digital 2017-06-19.docx Justification for No Material/Nonsubstantive Change	2017-06-21
Justification for Change 3137-0092 GC IMLS Grant Forms - Budget, PIS Digital.docx Justification for No Material/Nonsubstantive Change	2016-07-01
Justification for Change 3137-0092 Generic Clearance IMLS Grant Forms - Budget, PIS Digital.docx Justification for No Material/Nonsubstantive Change	2016-06-08
Burden Estimate PIS Budget Digital Program.xlsx Supplementary Document	2016-06-03
Forms justification statement A Budget PIS Digital 2017.docx Supporting Statement A	2016-06-03

IC Document Collections

IC ID	Document Title	Status
221795	Budget Form Form and Instruction	Unchanged
221794	Program Information Sheet Form Form and Instruction	Modified
221793	Digital Stewardship Form and Instruction	Modified

ICR Details

OMB Control No: 3137-0092	ICR Reference No: 201706-3137-002
Status: Historical Active	Previous ICR Reference No: 201607-3137-001
Agency/Subagency: IMLS	Agency Tracking No:
Title: Generic Clearance for IMLS Grant Forms: Budget Form, Program Information Sheet, and Digital Product Form and instruction
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/05/2017
	Date Received in OIRA: 06/21/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	07/31/2018	07/31/2018
Responses	3,105	0	3,105
Time Burden (Hours)	4,444	0	4,444
Cost Burden (Dollars)	124,172	0	124,172

---

Abstract: IMLS requests clearance for 3 forms it uses for all of the grant program applications, post-award reporting, and peer reviewer applications. These forms are directly related to the generic clearance for IMLS grant application and award processes (3137-0029).

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 25	02/06/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 99	05/22/2015
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Budget Form	Budget Form 1	Budget Form
Program Information Sheet Form	Program Information Sheet 1	Program Information Sheet
Digital Stewardship	Digital Product Form 1	Digital Product Form

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,105	3,105	0	0	0	0
Annual Time Burden (Hours)	4,444	4,444	0	0	0	0
Annual Cost Burden (Dollars)	124,172	124,172	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: No change in burden

---

Annual Cost to Federal Government: $28,312

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/21/2017

---